Table 3.
N = 1860 | Stent followed by resection n (%) N = 44 | Stoma followed by resection (%) N = 42 | Acute resection (%) N = 1774 | p value stent versus stoma versus acute resection | p value stent/stoma versus acute resection | p value stent versus acute resection | p value stoma versus acute resection |
---|---|---|---|---|---|---|---|
Complications within 30 days (N = 1850) | 12/44 (27.3) | 13/41 (31.7) | 699/1765 (39.6) | 0.17 | 0.07 | 0.05 | 0.22 |
Reintervention (N = 1082) | 8/28 (28.6) | 10/29 (34.5) | 240/1025 (23.4) | 0.32 | 0.20 | 0.63 | 0.18 |
Reintervention indication | 0.92 | 0.89 | 0.95 | 0.57 | |||
Anastomotic leakage | 2 (22.2) | 5 (50.0) | 111 (42.5) | 0.42 | 0.63 | 0.32 | 0.63 |
Abscess | 1 (11.1) | 1 (10.0) | 29 (11.1) | 0.99 | 0.94 | 0.90 | 0.92 |
Re-bleeding | 1 (11.1) | 0 (0.0) | 16 (6.1) | 0.59 | 0.88 | 0.46 | 0.42 |
Ileus | 1 (11.1) | 0 (0.0) | 15 (15.7) | 0.58 | 0.93 | 0.42 | 0.44 |
Fascia dehiscence | 2 (22.2) | 4 (40.0) | 41 (15.7) | 0.12 | 0.07 | 0.47 | 0.04 |
Other | 0 (0.0) | 0 (0.0) | 2 (0.8) | 0.30 | 0.37 | 0.64 | 0.13 |
Type of reintervention (N = 262) | |||||||
Radiological | 1 (12.5) | 1 (10.0) | 26 (6.2) | 0.91 | 0.67 | 0.55 | 0.82 |
Laparoscopy | 1 (12.5) | 1 (10.0) | 2 (1.6) | <0.01 | <0.01 | <0.01 | <0.01 |
Laparotomy | 4 (50.0) | 5 (50.0) | 196 (81.6) | 0.21 | 0.08 | 0.09 | 0.24 |
Other/unknown | 2 (25.0) | 3 (30.0) | 16 (6.6) | 0.08 | 0.03 | 0.05 | 0.12 |
Completeness of resection (N = 1738) | |||||||
R0 | 37/40 (92.5) | 33/39 (84.6) | 1524/1659 (91.9) | 0.26 | 0.30 | 0.97 | 0.13 |
R1 | 1/40 (2.5) | 6/39 (15.4) | 76/1659 (4.6) | <0.01 | 0.08 | 0.60 | 0.01 |
R2 | 2/40 (5.0) | 0/39 (0.0) | 58/1659 (3.5) | 0.43 | 0.65 | 0.50 | 0.22 |
30-day mortality (N = 1843) | 1/42 (2.4) | 1/42 (2.4) | 155/1759 (8.8) | 0.17 | 0.04 | 0.16 | 0.17 |
≤70 years | – | – | 36/815 (4.4) | ||||
>70 years | – | – | 118/947 (12.5)a | ||||
ASA 1–2 | – | – | 59/1186 (5.0) | ||||
ASA 3–5 | – | – | 97/629 (15.4)b | ||||
Ileocecal resection/right hemicolectomy | – | – | 125/1489 (8.4) | ||||
Transversectomy/left hemicolectomy/subtotal colectomy | – | – | 26/240 (10.8)c |
a p value <70 versus 70 years: <0.01
b p value ASA 1–2 versus ASA 3–5: <0.01
c p value right-sided colonic resection versus left-sided colonic resection: 0.07